Specifisko skoliozes vingrojumu pielietojums Koba leņķa mazināšanā pusaudžiem ar idiopātisko skoliozi: sistemātisks literatūras pārskats
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Date
2021
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Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Bakalaura darba nosaukums: Specifisko skoliozes vingrojumu pielietojums Koba leņķa mazināšanā pusaudžiem ar idiopātisko skoliozi: sistemātisks literatūras pārskats
Pamatojums: Pusaudžu idiopātiskā skolioze ietekmē apmēram 2 – 3 % populācijas. Kopā no visiem skoliožu gadījumiem idiopātiska skolioze sastāda 80% gadījumu, kā arī biežāk novērojama meitenēm. (Jose M. Ramirez, 2017) Ir aprakstīts, ka pusaudžu idiopātiskās skoliozes izplatība ir aptuveni 0,35 % līdz 13 % atkarībā no Koba leņķa lieluma, skrīninga vecuma un dzimuma. (Hee-Kit, 2010) Tiek ziņots, ka skoliozes prevalence ievērojami atšķiras starp dzimumiem. Starp meitenēm izplatība bija 3,2 % salīdzinājumā ar zēniem, kuriem bija tikai 0,6%. Citiem vārdiem sakot, prevelences attiecība starp sievietēm un vīriešiem bija 5.3 : 1. (Bettany-Saltikov et al. 2017)
Darba mērķis: Sistemātiski apkopot un analizēt pieejamos zinātniskajos pētījumos specifisku skoliozes vingrojumu ietekmi uz Koba leņķi, rumpja rotācijas leņķi un tās progresiju pusaudžu idiopātiskajai skoliozei.
Metodes: Pētījumu vākšanai tika izmantotas elektroniskās datu bāzes RSU bibliotēkas resursos: Primo, PubMed, The Cohrane library, Science direct, kā arī publiskās datu bāzes ārpus RSU bibliotēkas resursiem: Pedro, ClinicalKey, Taylor & Francis online, Google Scholar, SAGE journals. Tika meklēti pētījumi, kas publicēti no 2011. gada 1.janvāra līdz 2021. gada 15.aprīlim. Tika atlasīti nejaušināti kontrolēti pētījumi, kuros tika pētīts dažādu konservatīvo metožu pielietojums Koba leņķa mazināšanā pusaudžiem ar idiopātisko skoliozi. Pieci pētījumi tika iekļauti sistemātiskajā literatūras pārskatā.
Rezultāti: Detalizētai analīzei sistemātiskajā pārskatā tika iekļauti pieci nejaušināti kontrolēti pētījumi. Trīs pētījumos kā intervence tika izmantota Šrota terapija, vienā pētījumā izmantoja tikai rumpja stabilitātes vingrojumus, citā tikai aktīvus paškorekcijas vingrojumus. Vienā no pētījumiem izmantoja gan Šrota terapiju, gan rumpja stabilitātes vingrojumus. Pielietojot dažādas intervences atšķirīgos ilgumos, bija novērojama statistiski nozīmīga Koba leņķa un rumpja rotācijas leņķa samazināšanās.
Secinājumi: Iekļautajos augstas un labas kvalitātes pētījumos pielietojot skoliozes specifiskos vingrojumus bija novērojama Koba leņķa un rumpja rotācijas leņķa mazināšanās, kā arī pacientu subjektīvo emociju normalizēšanās, novērtējot pēc SRS-22 anketas.
Atslēgas vārdi: Pusaudžu idiopātiskā skolioze, Šrota terapija, rumpja rotācijas leņķis, SRS-22, specifiskie skoliozes vingrojumi, Koba leņķis.
Title: Application of specific scoliosis exercises in reducing Cobb angle in adolescents with idiopathic scoliosis: a systematic review of the literature Background: Adolescent idiopathic scoliosis affects approximately 2 – 3 % of the population. In total, idiopathic scoliosis accounts for 80% of all cases of scoliosis, and it’s more common in girls. (Jose M. Ramirez, 2017) The prevalence of adolescent idiopathic scoliosis has been reported to be approximately 0.35 % to 13 % depending on the size of the Cob angle, screening age and gender. (Hee-Kit, 2010) The prevalence of scoliosis is reported to vary significantly between the sexes. The prevalence among girls was 3.2 % compared to boys, who had only 0.6 %. In other words, the prevalence ratio between women and men was 5.3: 1 (Bettany-Saltikov et al. 2017) Objective: To systematically compile and analyze specific scoliosis exercise influence on Cobb angle, torso rotation angle and is progression in teenager idiopathic scoliosis from the available scientific studies. Methods: Electronical databases found in RSU library’s recourses were used for the study: Primo, PubMed, The Cohrane library, Science direct, as well as public data bases outside RSU library’s recourses: Pedro, ClinicalKey, Taylor & Francis online, Google Scholar, SAGE journals. Studies were sought, which were published between January 1st, 2011 and April 15th, 2021. Randomized, controlled studies were selected, in which different conservative method use was studied in Cobb angle’s reduction for teenagers with idiopathic scoliosis. Five studies were included in systematic literature report. Results: Five randomized, controlled studies were included in detailed analysis in literature report. In three of these studies, Schroth’s therapy was used as intervention, one study used only exercises for lower back stability improvement, the final used only active self-correcting exercises. One study included both Schroth’s therapy and torso stability exercises. With the use of different intervenes during different time spans, statistically noticeable improvement in Cobb angle reduction was observed. Conclusion: With the use of scoliosis specific exercises in included studies, Cobb angle and torso rotation reduction was observed, as well as normalization of patient’s subjective emotions, observed with the help of SRS-22 questionnaire. Keywords: adolescent idiopathic scoliosis, Schroth therapy, angle of trunk rotation, SRS-22, scoliosis specific exercises, Cobb angle
Title: Application of specific scoliosis exercises in reducing Cobb angle in adolescents with idiopathic scoliosis: a systematic review of the literature Background: Adolescent idiopathic scoliosis affects approximately 2 – 3 % of the population. In total, idiopathic scoliosis accounts for 80% of all cases of scoliosis, and it’s more common in girls. (Jose M. Ramirez, 2017) The prevalence of adolescent idiopathic scoliosis has been reported to be approximately 0.35 % to 13 % depending on the size of the Cob angle, screening age and gender. (Hee-Kit, 2010) The prevalence of scoliosis is reported to vary significantly between the sexes. The prevalence among girls was 3.2 % compared to boys, who had only 0.6 %. In other words, the prevalence ratio between women and men was 5.3: 1 (Bettany-Saltikov et al. 2017) Objective: To systematically compile and analyze specific scoliosis exercise influence on Cobb angle, torso rotation angle and is progression in teenager idiopathic scoliosis from the available scientific studies. Methods: Electronical databases found in RSU library’s recourses were used for the study: Primo, PubMed, The Cohrane library, Science direct, as well as public data bases outside RSU library’s recourses: Pedro, ClinicalKey, Taylor & Francis online, Google Scholar, SAGE journals. Studies were sought, which were published between January 1st, 2011 and April 15th, 2021. Randomized, controlled studies were selected, in which different conservative method use was studied in Cobb angle’s reduction for teenagers with idiopathic scoliosis. Five studies were included in systematic literature report. Results: Five randomized, controlled studies were included in detailed analysis in literature report. In three of these studies, Schroth’s therapy was used as intervention, one study used only exercises for lower back stability improvement, the final used only active self-correcting exercises. One study included both Schroth’s therapy and torso stability exercises. With the use of different intervenes during different time spans, statistically noticeable improvement in Cobb angle reduction was observed. Conclusion: With the use of scoliosis specific exercises in included studies, Cobb angle and torso rotation reduction was observed, as well as normalization of patient’s subjective emotions, observed with the help of SRS-22 questionnaire. Keywords: adolescent idiopathic scoliosis, Schroth therapy, angle of trunk rotation, SRS-22, scoliosis specific exercises, Cobb angle
Description
Fizioterapija
Physiotherapy
Veselības aprūpe
Health Care
Physiotherapy
Veselības aprūpe
Health Care
Keywords
Pusaudžu idiopātiskā skolioze, Šrota terapija, rumpja rotācijas leņķis, SRS-22, specifiskie skoliozes vingrojumi, Koba leņķis., Adolescent idiopathic scoliosis, Schroth therapy, angle of trunk rotation, SRS-22, scoliosis specific exercises, Cobb angle